Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins – Test Bank

Test Bank For Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

1. ISBN-10

   080362588X
2. ISBN-13

   978-0803625884

   2 books in a single! – Pharmacology – Dosage calculations Save time and cash with two books in a single! Half pharmacology, half dosage calculations―plus an intensive however accessible consider of main math! Proper right here’s the ought to-have information you need to obtain a robust understanding of pharmacology and administer medication safely. A physique strategies technique to pharmacology with a main math consider and a give consideration to drug classifications put collectively you for the scientific situations throughout which specific drugs are used. Completely up to date and revised, the 2nd Edition of this worktext supplies a continuing chapter building that progresses from key phrases and behavioral targets by the use of the chapter content material materials to software program and consider exercise routines. Plus, drug calculation actions on the BONUS CD-ROM help you overcome your fears and develop your experience. Confidently take care of your hardest challenges in any scientific setting with Pharmacology Clear & Simple, 2nd Edition!

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   == SAMPLE ==

   Chapter 2. Fundamentals of Pharmacology

   A variety of Different
   Set up the choice that biggest completes the assertion or options the question.

   ____ 1. The nurse is getting ready to apply valacyclovir (Valtrex) ointment to the shingles lesions located all through a client’s left side and reduce once more. Which of the subsequent actions ought to the nurse take first?
   A. Place the affected particular person in a supine place.
   B. Determine when the rash was first well-known.
   C. Make certain that the pores and pores and skin is evident and dry.
   D. Take the affected particular person’s crucial indicators.

   ____ 2. The nurse is providing take care of a client at 32 weeks’ gestation who started low-molecular heparin injections after rising a deep vein thrombosis. The consumer asks the nurse, “Why do I’ve to take a shot? Why can’t I take the blood clot medication that my dad takes orally?” Which of the subsequent responses by the nurse is biggest?
   A. “One thing that is fat-soluble, along with warfarin (Coumadin), is able to cross the placental barrier. Heparin is not fat-soluble so it doesn’t cross the barrier correctly.”
   B. “The placenta is effectively crossed by one thing you are taking by mouth if you’re pregnant, nonetheless not by points absorbed in numerous strategies.”
   C. “Solely water-soluble substances resembling dietary nutritional vitamins can cross the placental barrier, so you’ll be able to take each drugs, nonetheless heparin is cheaper.”
   D. “They’re the an identical drugs, nonetheless the shot is absorbed faster than the capsule so the doctor wishes you to take every day images.”

   ____ 3. The nurse is providing care to a client with HIV who has been prescribed fosamprenavir (Lexiva). Which of the subsequent statements by the consumer signifies that further instructing is vital?
   A. “The metabolites of this drugs is also excreted in energetic sort.”
   B. “I’m glad my kidneys work so correctly; in some other case the drugs wouldn’t work.”
   C. “This drug really has to be broken down by my physique to fight the virus.”
   D. “Isn’t it fascinating that my liver has to metabolize the drug for it to work?”

   ____ 4. The nurse is working with a client who was simply recently started on insulin treatment. The consumer’s youthful daughter asks, “Why do you may have to give her a shot? Why can’t you merely give her a capsule?” Which of the subsequent responses by the nurse is biggest?
   A. “Our our our bodies make insulin often, so it is a liquid drugs.”
   B. “We do have diabetic medication in capsule sort. I’m undecided why the doctor ordered it this way in your mom.”
   C. “Insulin is manufactured and given this way so it absorbs further shortly into the physique.”
   D. “The acid in your mother’s stomach would destroy this drugs, so it should most likely’t be swallowed.”

   ____ 5. The nurse is providing take care of a 48-yr-outdated male on the surgical unit. Gentamicin (Garamycin) 2 mg/kg every 8 hours has been started. The nurse could possibly be most concerned by which of the subsequent findings?
   A. Blood ranges have been ordered every 24 hours
   B. The affected particular person’s EGFR = 40 mL/min
   C. The affected particular person’s hemoglobin = 11.8 g/dL
   D. The affected particular person’s WBC = 14,000 c/mm3

   ____ 6. A 16-yr-outdated shopper comes to the urgent care clinic with indicators of tonsillitis. The consumer tells the nurse she takes tetracycline (Doxycycline) every day for the treatment of pimples. The nurse could possibly be most concerned if the effectively being care provider prescribed which of the subsequent?
   A. Amoxicillin clavulanate (Augmentin)
   B. Cefdinir (Omnicef)
   C. Cefixime (Suprax)
   D. Ciprofloxacin (Cipro)

   ____ 7. The nurse is providing take care of a client experiencing muscle spasms. The physician has ordered cyclobenzaprine (Flexeril). The nurse would inform the consumer to anticipate which of the subsequent destructive results?
   A. Hypocalcemia and hypotension
   B. Dizziness and drowsiness
   C. Nausea and headache
   D. Flaccidity and urinary retention

   ____ 8. Whereas caring for purchasers on the medical unit, the nurse would see which of the subsequent purchasers first?
   A. A 28-yr-outdated affected particular person with HIV who has a temperature of 99.2°F
   B. A 54-yr-outdated affected particular person with diverticulitis whose consuming routine was merely superior to robust meals
   C. A 61-yr-outdated affected one who takes ibuprofen for arthritis complaining of utmost stomach ache
   D. A 37-yr-outdated affected particular person with a kidney stone who’s due for ache drugs in 20 minutes

   ____ 9. Whereas getting ready to current a affected particular person admitted to the hospital for a laparoscopic hysterectomy the prescribed dose of ibuprofen (Motrin) 800 mg orally, which of the subsequent actions would take highest priority?
   A. Determine if the consumer has eaten contained in the earlier hour.
   B. Assess the consumer’s vaginal discharge.
   C. Help the consumer ambulate inside the hall.
   D. Contemplate the consumer’s most up-to-date renal panel labs.

   ____ 10. The nurse is providing take care of purchasers on the orthopedic unit. Which of the subsequent analysis findings is most concerning to the nurse?
   A. A shopper who takes lisinopril (Zestril) and is complaining of restricted range of motion after shoulder surgical process
   B. A shopper with a fractured pelvis who takes warfarin sodium (Coumadin) and experiences having a black tarry stool in the midst of the night
   C. A shopper 2 days publish-op for knee various who takes hydrocodone/acetaminophen (Vicodin) and refused to have labs drawn this morning
   D. A shopper 4 days after hip various surgical process taking omeprazole (Prilosec) who ordered spinach for dinner

   ____ 11. Whereas working inside the neonatal intensive care unit, the nurse notes an toddler’s oxygen saturation has been 98% for the earlier 4 hours. The toddler has been receiving oxygen at 4 L. Which of the subsequent actions by the nurse is biggest?
   A. Flip the oxygen stage down to 3 L and monitor intently to reduce the hazard of eye damage.
   B. Go away the oxygen stage at its current value to reduce the hazard of lung damage.
   C. Flip the oxygen stage down to 2 L and monitor intently to take into account the toddler’s readiness for swap out of the ICU.
   D. Go away the oxygen stage at its current value and inform the mom and father the kid will need supplemental oxygen at home.

   A variety of Response
   Set up numerous choices that biggest full the assertion or reply the question.

   ____ 1. Whereas providing oral medication, the nurse acknowledges which of the subsequent is true in regards to the absorption value of a medication? (Select all that apply.)
   A. The drug’s stage of fat solubility should be extreme to assure absorption.
   B. A drugs will be further readily absorbed if it has a extreme pH.
   C. A drug will be further readily absorbed whether or not it’s acidic in nature.
   D. Absorption will be further quick whether or not it’s equipped in liquid sort.
   E. Absorption is slower inside the presence of meals.
   F. A lozenge should be chewed to launch the utmost amount of medication.

   ____ 2. Whereas caring for numerous purchasers on the medical/surgical unit, the nurse would monitor which of the subsequent folks for potential liver toxicity? (Select all that apply.)
   A. A 14-yr-outdated affected particular person taking atomoxetine (Strattera) who has a historic previous of ADHD
   B. A 44-yr-outdated affected particular person admitted for pneumonia who has been taking acetaminophen
   (Tylenol)
   C. A 63-yr-outdated affected particular person with a historic previous of atrial fibrillation who has an irregular apical
   pulse
   D. A 19-yr-outdated affected particular person with a historic previous of alcohol abuse admitted for a tonsillectomy
   E. A 71-yr-outdated affected particular person with a historic previous of tuberculosis who took isoniazid (Laniazid)
   F. A 15-yr-outdated affected one who took numerous aspirin as part of a suicide attempt

   ____ 3. Whereas working inside the gastrointestinal diagnostic clinic, the nurse identifies which of the subsequent folks as at extreme hazard for rising a gastric ulcer? (Select all that apply.)
   A. A 41-yr-outdated affected particular person with a family historic previous of Crohn’s sickness
   B. A 54-yr-outdated affected one who experiences smoking 1.5 packs of cigarettes/day for the earlier 40 years
   C. A 29-yr-outdated affected particular person taking misoprostol (Cytotec)
   D. A 16-yr-outdated affected particular person with a 6-month historic previous of bulimia
   E. A 44-yr-outdated affected one who experiences taking ibuprofen (Advil) every day for low once more ache

   ____ 4. Whereas providing medication to purchasers inside the prolonged-time interval care facility, which of the subsequent actions would the nurse use to cease gastrointestinal destructive results? (Select all that apply.)
   A. Give purchasers yogurt to cease diarrhea.
   B. Improve shopper consumption of fiber to reduce gastric motility.
   C. Current milk or meals with some medication to reduce the incidence of nausea.
   D. Improve absorption of the drugs by giving it at night with an enormous snack.
   E. Forestall constipation by providing fiber laxatives.

   Chapter 2. Fundamentals of Pharmacology
   Reply Half

   MULTIPLE CHOICE

   1. ANS: C PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Therapy Provision; antivirals
   KEY: Analysis MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Absorption (p. 15). When administering an ointment for a rash, make it possible for the pores and pores and skin is evident and dry.

   2. ANS: A PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Anticoagulant treatment KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Distribution (p. 16): The blood-placental barrier helps to filter drugs and totally different substances passing from mother to fetus. Most lipid-soluble drugs readily cross this barrier nonetheless water-soluble drugs do not. Warfarin (Coumadin) is fat-soluble and crosses the placental barrier whereas heparin would not. They do not appear to be the an identical drugs and value is not part of the therapeutic alternative.

   3. ANS: B PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Therapy Administration; antivirals
   KEY: Analysis MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Metabolism (p. 16): The liver does lots of the work of drug metabolism. In some circumstances, a drug is run in its inactive sort to end up to be activated by the use of metabolism. This class of remedy is called prodrugs. An occasion of a prodrug is fosamprenavir (Lexiva).

   4. ANS: D PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Antidiabetics KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Metabolism (p. 16): Insulin given by mouth is sort of ineffective; stomach acid breaks down insulin to an inactive sort sooner than it could be absorbed into the bloodstream. Oral diabetic medication aren’t sorts of insulin; they stimulate the pancreas to launch insulin.

   5. ANS: B PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Antibiotics KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Factors Affecting the Drug Cycle (p. 17): Gentamicin is believed to be every nephrotoxic (toxic to the kidneys) and ototoxic (toxic to the ears). Thus, kidney carry out and listening to could possibly be monitored intently. The EGFR is the right measurement of kidney carry out. Common price is >60 mL/min. Whereas the consumer’s hemoglobin is low, the kidney carry out is further concerning. An elevated WBC rely is anticipated inside the presence of an an an infection, which is the reason antibiotic treatment is equipped. Routine blood ranges to monitor drug dosage is anticipated to help cease toxicity.

   6. ANS: A PTS: 1 DIF: Onerous
   TOP: Therapeutic Classification: Antibiotics KEY: Utility
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Factors Affecting Drug Cycle (p. 18): Antagonist drugs do the choice by rendering one different drug a lot much less extremely efficient. The antibiotic tetracycline turns into ineffective when it is taken with penicillin. Amoxicillin clavulanate is a penicillin by-product.

   7. ANS: B PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Muscle relaxants KEY: Utility
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See The Significance of Side Outcomes (p. 18): Muscle relaxants resembling Flexeril set off dizziness and drowsiness in addition to to their meant actions.

   8. ANS: C PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Anti-inflammatory brokers KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Side Outcomes (p. 19): Purchasers who take nonsteroidal anti-inflammatory medication on a protracted-time interval basis run the hazard of rising ulcers. This shopper might be essentially the most unstable and should be seen first.

   9. ANS: D PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Anti-inflammatory brokers KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Side Outcomes (p. 19): If kidney damage or impairment is suspected, BUN ranges is also monitored to take into account kidney carry out. Purchasers taking anti-inflammatory brokers are at elevated hazard of kidney damage because of these drugs are primarily metabolized by the use of the kidneys as an alternative of the liver.

   10. ANS: B PTS: 1 DIF: Onerous
   TOP: Therapeutic Classification: Anticoagulants KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Side Outcomes (p. 19): Any affected particular person taking an anticoagulant resembling Coumadin to decrease clotting should be fastidiously monitored for indicators of bleeding, along with darkish tarry stools. Coumadin ranges should be monitored to ensure that the drug stage is therapeutic nonetheless not toxic.

   11. ANS: A PTS: 1 DIF: Cheap TOP: Therapeutic Classification: NA
   KEY: Analysis MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Side Outcomes (p. 19): A vital concern is utilizing oxygen in premature infants. At extreme doses, oxygen could also be very damaging to the eyes. Due to this, oxygen is now used on the bottom therapeutic dose doable for all age groups. This oxygen saturation stage is superb, has been regular for 4 hours, and thus a trial on lower concentrations is warranted. Change out of ICU will depend on further parts. Prolonged-time interval use of oxygen can’t be determined proper now.

   MULTIPLE RESPONSE

   1. ANS: A, C, D, E PTS: 1 DIF: Onerous TOP: Therapeutic Classification: NA
   KEY: Analysis MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Absorption (p. 15): The additional soluble a medication is in fat or lipids, the additional merely it is absorbed by the use of the stomach. Medicines with a low (acidic) pH are merely absorbed inside the stomach. Liquid medication act faster than capsules. A large amount of meals slows absorption. If a affected particular person sucks on a lozenge, further drugs is launched inside the mouth than if the lozenge is chewed or swallowed.

   2. ANS: B, D, E, F PTS: 1 DIF: Onerous
   TOP: Therapeutic Classification: Therapy Administration KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Side Outcomes (p. 18): Alcohol, acetaminophen, isoniazid, and aspirin may trigger liver damage.

   3. ANS: B, E PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Anti-inflammatory brokers KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Side Outcomes (p. 19): The synthetic prostaglandin misoprostol (Cytotec) is also given to cease the occasion of ulcers. Purchasers taking anti-inflammatory brokers resembling ibuprofen are at elevated hazard for ulcer formation. These victims are moreover urged to give up smoking to reduce the hazard of ulcers.

   4. ANS: A, C, E PTS: 1 DIF: Cheap
   TOP: Therapeutic Classification: Therapy Administration KEY: Analysis
   MSC: NCLEX Class: Pharmacological Therapies
   NOT: See Side Outcomes (p. 19): Undesirable unwanted side effects are managed on an individual basis. Some medication require ingestion with milk or meals. For certain drugs, together with yogurt to the consuming routine is advisable to cease diarrhea, and totally different drugs may require the addition of a extreme-fiber laxative to the consuming routine to cease constipation. Fiber will improve GI motility. The presence of meals slows absorption prices.